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. 2024 Jan 4:10:20552076231222108.
doi: 10.1177/20552076231222108. eCollection 2024 Jan-Dec.

Drivers and barriers of patients' acceptance of video consultation in cancer care

Angelina Nurtsch  1 , Martin Teufel  1   2   3 , Lisa Maria Jahre  1   3 , André Esber  1 , Raya Rausch  1   2 , Mitra Tewes  2   4 , Christoph Schöbel  5 , Stefan Palm  2 , Martin Schuler  2   6 , Dirk Schadendorf  2   7 , Eva-Maria Skoda  1   2   3 , Alexander Bäuerle  1   2   3
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Drivers and barriers of patients' acceptance of video consultation in cancer care

Angelina Nurtsch et al. Digit Health. .

Abstract

Background: Due to digitization in the medical sector, many healthcare interactions are switched to online services. This study assessed the acceptance of video consultations (VCs) in cancer care, and determined drivers and barriers of acceptance.

Methods: A cross-sectional online-based survey study was conducted in Germany from February 2022 to February 2023. Recruitment took place at oncology outpatient clinics, general practitioners, oncology practices and via cancer-related social media channels. Inclusion criteria were a cancer diagnosis, cancer treatment and internet access. Sociodemographic, medical data, eHealth-related data were acquired via an online assessment. The Unified Theory of Acceptance and Use of Technology (UTAUT) model was used to determine the acceptance of VC and its predictors.

Results: Of N = 350 cancer patients, 56.0% (n = 196) reported high acceptance of VC, 28.0% (n = 98) stated moderate acceptance and 16.0% (n = 56) indicated low acceptance. Factors influencing acceptance were younger age (β = -.28, p < .001), female gender (β = .35, p = .005), stage of disease (β = .11, p = .032), high digital confidence (β = .14, p = .010), low internet anxiety (β = -.21, p = .001), high digital overload (β = -.12, p = .022), high eHealth literacy (β = .14, p = .028), personal trust (β = -.25, p < .001), internet use (β = .17, p = .002), and the UTAUT predictors: performance expectancy (β = .24, p < .001), effort expectancy (β = .26, p < .001), and social influence (β = .34, p < .001).

Conclusions: Patients' acceptance of VC in cancer care is high. Drivers and barriers to acceptance identified should be considered for personalized applications. Considering the growing demand for cancer care establishing digital healthcare solutions is justified.

Keywords: Telemedicine; UTAUT; remote consultation; teleoncology; videoconferencing.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Cancer patients’ use behavior of the internet and VC for private and professional purposes
See this image and copyright information in PMC

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References

    1. International Agency for Research on Cancer. Cancer Fact sheets, https://gco.iarc.fr/today/data/factsheets/cancers/39-All-cancers-fact-sh... (2020, accessed 4 January 2023).
    1. International Agency for Research on Cancer. Population Fact Sheets, https://gco.iarc.fr/today/data/factsheets/populations/276-germany-fact-s... (2021, accessed 4 January 2023).
    1. Deutsches Krebsforschungszentrum, Krebsinformationsdienst. Krebsstatistiken: So häufig ist Krebs in Deutschland, https://www.krebsinformationsdienst.de/tumorarten/grundlagen/krebsstatis... (2021, accessed 1 May 2022).
    1. World Health Organization. Coronavirus disease (COVID-19) pandemic, https://www.who.int/europe/emergencies/situations/covid-19 (2023, accessed 27 June 2023). - PubMed
    1. Paterson C, Bacon R, Dwyer R, et al. The Role of Telehealth During the COVID-19 Pandemic Across the Interdisciplinary Cancer Team: implications for practice. Semin Oncol Nurs 2020; 36: 151090. - PMC - PubMed

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